# NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Other names:** Center for Cosmetic & Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306192273
- **Legal business name:** NEVADA DENTAL PROFESSIONAL, QUIRT, KRUYER, P.C.
- **Authorized official:** CARMEN WOODS (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-5141

## Contact information

- **Practice address:** 10410 S EASTERN AVE STE 200, HENDERSON, NV 89052-4141
- **Practice address phone:** (702) 616-0777
- **Mailing address:** 10410 S EASTERN AVE STE 200, HENDERSON, NV 89052-4141
- **Mailing address phone:** (702) 616-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2012
- **Last updated:** 09/26/2022